Individual provider Active NPI

Jeffrey B. Syme, M.D.

  • Family Medicine Physician
  • Swansea, MA
National Provider Identifier
1225099443
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
79711 Issued in MA
Practice address
479 Swansea Mall Dr
Swansea, MA 02777-4119
Phone
(508) 973-1570
Fax
(508) 973-1545
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6179 RI
Family Medicine Physician 207Q00000X 79711 MA Primary

Addresses

Primary practice location

479 Swansea Mall Dr
Swansea, MA 02777-4119

Mailing address

200 Mill Rd
Ste 180
Fairhaven, MA 02719-5252
Phone (508) 973-2000

Other identifiers 1

IdentifierTypeStateIssuer
3204014MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsyme6420@direct.southcoast.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040804001285 MA Practitioner - Family Practice 2668443458 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6179RIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Physicians Group, Inc. Family Medicine CurrentSince Jul 1, 2008 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jul 1, 2008 Accepting new patients
New Bedford Medical Associates PC Past Accepting new patients
Southcoast Physicians Group, Inc. Past Accepting new patients

Locations

200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

275 Allen St
New Bedford, MA 02740
Phone (508) 992-9167

479 Swansea Mall Dr
Swansea, MA 02777
Phone (508) 672-5300

Interoperability endpoints

  • Direct secure messaging: jsyme6420@direct.southcoast.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1225099443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILL RD",
            "address_2": "STE 180",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195252",
            "telephone_number": "508-973-2000",
            "fax_number": "508-973-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 SWANSEA MALL DR",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027774119",
            "telephone_number": "508-973-1570",
            "fax_number": "508-973-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYME",
        "first_name": "JEFFREY",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "6179",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "79711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3204014",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsyme6420@direct.southcoast.org",
            "affiliation": "N",
            "endpointDescription": "Southcoast Health Epic Direct Address",
            "address_1": "479 Swansea Mall Dr",
            "city": "Swansea",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027774119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Swansea, MA

Sources for this page

Verify at the official NPI Registry.